RESULTS OF THE SALTER PELVIC OSTEOTOMY IN THE SURGICAL TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP
Ahmet KAPUKAYA, Mehmet SUBAŞI, Serdar NECMİOĞLU, Turgut KIRKGÖZ
Dicle Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı
Keywords: Developmental Dysplasia of the Hip, Salter Pelvic Osteotomy.
Patients and methods: In this study, 65 developmental dysplasia of the hip of 45 patients who had been diagnosed after the walk and treated by the Salter pelvic osteotomy and open reduction were evaluated. Of 47 patients, 37 were female and ten were male. Eighteen patients were involved bilaterally and 29 patient unilaterally. Of the patients, 27 were between 1.5-3 years, 14 patients between 4-6 years and 6 patients between 7-10 years. The mean follow-up period was 61.6 (min: 17-max: 132) months. Together with open reduction and the Salter pelvic osteotomies, adductor tenotomy was carried out in 22 patients, and subtrochanteric varus-deroration- shortening osteotomy in 19 patients.
Results: The results were classified according to the McKay’s clinical criteria, the results obtained were excellent or good in 52 hips (%80), moderate 8 (%12.3) and poor in 5 (%7.6). The avascular necrosis and redislocation which are accepted important complications were determined 8 hips (12.3%) and 4 hips (6.1%), respectively.
Conclusion: In the surgical treatment of the developmental hip dislocation after the walk, Salter pelvic osteotomy is an effective method owing to correction of acetabular maldirection and corrective osteotomy of the proximal femur should be added in patients over four years old.